Desai Neel, Fowler Anna
From the Department of Anaesthetics, Royal National Throat, Nose and Ear Hospital, Kings Cross, London, United Kingdom.
A A Case Rep. 2017 Nov 1;9(9):268-270. doi: 10.1213/XAA.0000000000000589.
Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) is a novel airway technique that utilizes high-flow humidified nasal oxygen. It can extend apnea time and maintain oxygen saturation. Here we report the use of THRIVE in a 35-year-old man who required emergent surgical tracheostomy for a clinically relevant compromised airway secondary to acute supraglottic and glottic pathology. Intravenous sedation resulted in hypoventilation close to apnea. THRIVE maintained oxygen saturation for 40 minutes until transient desaturation developed after complete airway obstruction.
经鼻湿化快速充气通气交换（THRIVE）是一种利用高流量湿化鼻氧的新型气道技术。它可以延长呼吸暂停时间并维持氧饱和度。在此，我们报告了 THRIVE 在一名 35 岁男性患者中的应用，该患者因急性声门上和声门病变导致具有临床相关性的气道受损，需要紧急进行外科气管造口术。静脉镇静导致通气不足接近呼吸暂停。THRIVE 将氧饱和度维持了 40 分钟，直到气道完全阻塞后出现短暂的氧饱和度下降。
